UST Miscellaneous Documents Page Updated on 7/2/2018

QUICK LINKS (by Subject Area)

• Agency Contact Information
• Agency Inspection Forms (Agency Use Only)
• Amendments to State Regulations (See below)
• Compatibility (See below)
• Compliance Guidelines (See below)
• Designated Operator Forms
  • Facility Employee Training Record (See below)
  • Inspection Report (See below)
  • Notification Form (See below)
• Equipment Testing Guidelines and Forms
• Leak / Spill Reporting Form
• Owner/Operator Statement of Understanding and Compliance (See below)
• UST Response Plan
• Written Agreement Between UST Permit Holder and UST Operator

The documents listed below are available in PDF format and/or as Microsoft Word files. If you need help downloading, printing, or entering data for any of these documents, please view the Download Instructions and Uniform Document Questions and Answers pages.

Number (Rev. Date)	Document Title	Format		Description
UN-001 (12/20/99)	Guidelines for Adoption of California Underground Storage Tank Regulations			Unidocs Member Agency amendments to State UST Regulations.
UN-028 (3/21/11)	Unauthorized Release (Leak)/Contamination Site Report			This is an interactive PDF form intended for use within Santa Clara County for the reporting of releases or site contamination from any source.
UN-062 (6/14/18)	Underground Storage Tank Designated Underground Storage Tank Operator Identification Form			This form must be electronically submitted by the UST owner/operator to identify the person(s) who will serve as Designated UST Operator for a UST facility. [Submittals on and after 10/1/2018 must use this version of the form. Submittals made through 9/30/2018 may use this version or earlier versions of this form.]
UN-111 (6/14/18)	Underground Storage Tank Designated Underground Storage Tank Operator Visual Inspection Report			This form must be used to document inspections performed by Designated UST Operators on and after 10/1/2018. [Inspections performed through 9/30/2018 may be documented on other forms.]
UN-112 (10/1/18)	Underground Storage Tank Facility Employee Training Certificate			This form must be used to document facility employee training provided by Designated UST Operators on and after 10/1/2018. [Training provided through 9/30/2018 must be documented on a list of trained employees (e.g., the UN-061 UST System Designated Operator Facility Employee Training Record).]
UN-110 (6/14/18)	Underground Storage Tank Statement of Understanding and Compliance Form			This form must be electronically submitted by the UST owner/operator within 30 days of installing a UST or within 30 days of a change in UST owner or UST operator. [Submittals on and after 10/1/2018 must use this form. Submittals made through 9/30/2018 may use other forms.]
UN-022B (7/2/18)	Underground Storage Tank Response Plan			This form may be used to satisfy State-required electronic submittal of a UST Response Plan.
UN-100 (11/16/15)	Underground Storage Tank System Affirmative Statement of Compatibility			This form must be submitted to and approved by the Unified program Agency that implements the UST Progarm prior to storing an alternative fuel (e.g., Biodiesel >B5, E85) in a UST system.
UN-099 (11/16/15)	Underground Storage Tank System Compatibility With Alternative Fuels			Guidance document that describes requirements for storing an alternative fuel (e.g., Biodiesel >B5, E85) in a UST system.
UN-061 (7/13/05)	Underground Storage Tank System Designated Operator Facility Employee Training Record			This form can be used by Designated UST Operators to document training of UST facility personnel as required by California UST regulations. [Note: This form cannot be used after 9/30/2018. The UN-112 UST Facility Employee Training Certificate must be used on and after 10/1/2018.]
UN-019 (9/9/96)	Underground Storage Tank System General Compliance Guidelines			Guidelines for complying with basic UST system operating requirements. Use this form to avoid violations.
UN-106 (1/4/16)	Written Agreement Between Underground Storage Tank Permit Holder and Underground Storage Tank Operator			In cases where the UST permit is issued to a person other than the operator of the UST(s), the permit holder must enter into a written agreement with the operator of the UST(s). This form may be used to do that.